Individual
DR. JUSTIN WALTRIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4301 WILSON ST, LAWTON, OK 73503-4472
(580) 558-8415
Mailing address
1251 STILLWATER TRAIL, LAWTON, OK 73507
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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